Individual
CARLY BOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TX
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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